Episodes

  • How Telehealth and Chronic Care Management Drive Modern Reimbursement

    How Telehealth and Chronic Care Management Drive Modern Reimbursement
    Jul 14 2025

    In this episode of Compliance Conversations, CJ Wolf welcomes back Maya Turner, a nationally recognized expert in medical coding and consulting. Together, they explore how value-based care and ancillary services are transforming provider reimbursement, especially in a telehealth-enabled world.

    You'll learn:

    • What value-based care really means (and why it matters)
    • The billing codes you may be overlooking
    • How to streamline documentation and consent
    • Why ancillary staff and virtual care models are key to success
    • What telehealth's future means for your billing strategy

    Whether you're already billing for chronic care or just starting to explore value-based models, this episode will help you uncover new revenue opportunities—without adding more hours to your day.


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    33 mins
  • Healthcare Marketing in a Privacy-First World

    Healthcare Marketing in a Privacy-First World
    Jun 19 2025

    Aaron Burnett, CEO of Wheelhouse Digital Marketing Group, joins CJ Wolf to decode the complex world of healthcare marketing, privacy laws, and risk mitigation.

    What You’ll Learn:

    • The evolving legal landscape: OCR guidance, AHA lawsuits, FTC enforcement
    • Why third-party tracking is out—and what to use instead
    • How to collaborate across marketing, IT, and compliance
    • What “data destiny” really means for covered entities
    • Emerging solutions like media mix modeling and private analytics

    Who Should Listen:
    Compliance officers, healthcare marketers, IT leaders, and anyone responsible for HIPAA risk management in a digital world.


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    31 mins
  • Top Takeaways from New Skilled Nursing Facility Guidance

    Top Takeaways from New Skilled Nursing Facility Guidance
    Jun 5 2025

    Join Healthicity’s CJ Wolf and Compliagent’s Paige Pennington as they break down the first industry-specific compliance program guidance (ICPG) from the OIG—focused entirely on skilled nursing facilities.

    Key Takeaways:

    • Why the OIG prioritized SNFs
    • Top risk areas flagged in the new guidance
    • The evolving role of compliance in quality and contracting
    • Actionable steps for aligning your risk assessments and audit plans

    This episode is a must-listen for compliance professionals navigating the post-acute space.

    You can reach out to Paige at ppennington@compliagent.com or via phone at 310-736-4972.


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    47 mins
  • Cybersecurity in Healthcare: What Every Compliance Officer Needs to Know

    Cybersecurity in Healthcare: What Every Compliance Officer Needs to Know
    May 22 2025

    In this episode of Compliance Conversations, Anurag Lal, CEO of NetSfere and former U.S. broadband official, explains why healthcare remains the top target for cybercriminals—and what you can do about it.

    What You’ll Learn:

    • The evolving tactics behind healthcare cyberattacks
    • How to identify insecure communication practices within your org
    • What true end-to-end encryption really means
    • Why patient care and cybersecurity are more connected than you think

    Tune in now and learn how to protect your organization from today’s cyber threats.



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    29 mins
  • Conferences, Coding, and Compliance: What We Learned

    Conferences, Coding, and Compliance: What We Learned
    May 8 2025
    From artificial intelligence in audit workflows to CMS’s renewed focus on fraud, waste, and abuse, this episode of Compliance Conversations covers the biggest themes that emerged from HEALTHCON and HCCA’s Compliance Institute. Tune in to hear real takeaways from the exhibit hall, speaker sessions, and side conversations—including why quality of care oversight is gaining new attention. CJ Wolf, MD, and Brian Burton, Healthicity Chief Compliance & Privacy Officer, discuss: - Why AI was everywhere—and what it means for your compliance program - The latest OIG and DOJ guidance on effectiveness and enforcement - How CMS is signaling a “war on fraud, waste, and abuse” - What quality of care oversight looks like in the real world


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    39 mins
  • What to Do When the Audit Letter Arrives

    What to Do When the Audit Letter Arrives
    Apr 24 2025
    Audits are an inevitable part of healthcare. But they don’t have to throw your practice into chaos. In this episode, CJ Wolf talks with regulatory and transactional healthcare attorney Christina Kuta, a Shareholder at Roetzel & Andress, about the essential steps providers should take when facing a third-party audit. You’ll learn: - The first three things to do when you receive an audit notice - How government and commercial audits differ - Why self-auditing matters—and how to do it right - Tips for reducing risk, managing appeals, and avoiding common pitfalls - Whether you're a compliance officer, auditor, or provider, this episode is packed with practical advice and real-world insights. You can reach Christina at CKuta@ralaw.com.


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    31 mins
  • Inside IROs: What Compliance Professionals Need to Know

    Inside IROs: What Compliance Professionals Need to Know
    Apr 10 2025
    Independent Review Organizations (IROs) play a crucial role in healthcare compliance, particularly when organizations are under a Corporate Integrity Agreement (CIA). In this episode of Compliance Conversations, CJ Wolf interviews Stephani Scott, VP of Audit Services at AAPC, on what it really means to be an IRO. You’ll discover: - What IROs do and why independence matters - The key components of CIA audit timelines and expectations - How RAT-STATS ensures unbiased sampling


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    28 mins
  • From Templates to Time-Savers: EHR Tips for Coders and Clinicians

    From Templates to Time-Savers: EHR Tips for Coders and Clinicians
    Mar 27 2025
    In this episode of Compliance Conversations, host CJ Wolf chats with Elizabeth Herbert, an Epic Application Analyst with over 25 years of healthcare experience. Together, they break down the myths around EHR templates, offer practical tips for providers and compliance professionals, and explore underused tools that can streamline your day-to-day work. From proper template design to avoiding compliance risks and improving provider training, this conversation is a must-listen for anyone working in healthcare documentation, coding, or compliance. - Practical examples from real audits - Time-saving tools you might be missing - Compliance pitfalls—and how to avoid them - Smart ways to personalize your EHR workflow


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    31 mins